Physical Therapy

Physical Therapy - Manual Therapy

CPT Code: 97140

2024 Medicare Benchmark$33.22CMS national average payment rate
Typical Commercial Range$39.86 – $66.44What most insurers actually pay (1.2–2× Medicare)

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Understanding the cost of Physical Therapy - Manual Therapy

What does the Medicare rate mean?

The Medicare rate of $33.22 is the amount the federal government pays providers for CPT 97140under the Medicare Physician Fee Schedule. It’s the most widely published benchmark for what a procedure "should" cost and is used as a reference point by commercial insurers when negotiating their own rates.

What do commercial insurers pay?

Commercial insurers (Blue Cross, Aetna, UnitedHealth, etc.) negotiate rates independently with each provider network. As a rule of thumb, these rates fall in the $39.86 – $66.44 range for Physical Therapy - Manual Therapy — roughly 1.2 to 2 times Medicare. If you were billed significantly more, the excess may be negotiable.

What if I was billed more than the commercial range?

Bills above the typical commercial range are common, especially for uninsured or out-of-network patients who receive chargemaster (list) prices. You have several options:

  • Ask for the Medicare rate or self-pay discount — many providers will accept this immediately.
  • Request an itemized bill — billing errors are common and can account for hundreds or thousands of dollars.
  • Appeal if you have insurance — if the procedure was denied or you were billed out-of-network, you have the right to appeal.
  • Ask about financial assistance — nonprofit hospitals are required by law to offer charity care programs.

Frequently asked questions

How much does Physical Therapy - Manual Therapy cost without insurance?

Without insurance, you may be billed the chargemaster (list) rate, which can be 3–10× the Medicare rate. For Physical Therapy - Manual Therapy, that could mean a bill of $99.66–$166.10 or more. Always ask for the self-pay or cash-pay rate before accepting the listed price — providers often offer significant discounts.

What is CPT code 97140?

CPT 97140 is the Current Procedural Terminology code assigned to Physical Therapy - Manual Therapy. It’s used by providers, insurers, and Medicare to identify and bill for this specific service. You’ll find it on your Explanation of Benefits (EOB) or itemized bill.

Can I negotiate the cost of Physical Therapy - Manual Therapy?

Yes. Negotiating medical bills is common and often successful. Referencing the Medicare rate of $33.22 gives you a credible, federally published benchmark to anchor the conversation. Many providers will accept 1–1.5× Medicare as a cash settlement.